OrganizationActive
Countryside Home
NPI 1598893869 · Adult Care Home Facility · Wellington, KS
Provider details
- NPI number
- 1598893869
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Channity Farley, Owner Operator(620) 326-8749
- License
- B096014 (KS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
122 S Countryside Ln
Wellington, KS 67152-8077
Phone: (620) 326-8749
Fax: (620) 326-2254
Approximate (ZIP-level) locationGet directions
Mailing address
122 S Countryside Ln
Wellington, KS 67152-8077
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2008-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.